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An Analysis Of Public Library Services For The Tribal Community In Rayalaseema Region With A Special Reference To Healthcare And Hygiene, P Ramu Naik Mr, V. K. Dhanyasree Dr Jun 2026

An Analysis Of Public Library Services For The Tribal Community In Rayalaseema Region With A Special Reference To Healthcare And Hygiene, P Ramu Naik Mr, V. K. Dhanyasree Dr

Library Philosophy and Practice (e-journal)

Public libraries have long been recognised as critical societal institutions, serving as information, education, and community engagement centres. In the context of tribal communities, their role in disseminating health information is particularly significant. Tribal populations often face unique health challenges and disparities, making access to accurate and reliable health information vital to their well-being. This study examines the pivotal role that public libraries play in disseminating health information to tribal people. The study is conducted among 13 branch libraries in the tribal areas of Rayalaseema region. A structured questionnaire was used for the survey. The results show that even though …

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Designing Captcha Systems With Reinforcement Learning For Adaptive Defense, Meghana Indukuri, Eman Naseerkhan, Joshua Rose, Martin Tran, Younghee Park May 2026

Designing Captcha Systems With Reinforcement Learning For Adaptive Defense, Meghana Indukuri, Eman Naseerkhan, Joshua Rose, Martin Tran, Younghee Park

Faculty Research, Scholarly, and Creative Activity

CAPTCHA (Completely Automated Public Turing test to tell Computers and Humans Apart) systems remain a widely deployed defense against automated abuse, but advances in machine learning have reduced the effectiveness of traditional challenge-based designs and exposed limitations in proprietary risk-scoring systems. This paper presents an adaptive, reinforcement learning-based CAPTCHA defense framework for high-security web applications. The proposed system formulates bot detection as a partially observable Markov decision process and uses a Proximal Policy Optimization (PPO) agent with Long Short-Term Memory to analyze streamed behavioral telemetry, including mouse movements, clicks, keystrokes, and scrolling, over sequential interaction windows. During the observation phase, …

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Electron And Hole Surface Roughness Scattering-Limited Mobilities In Oxygen-Inserted (Oi) Si Channel, Vikram Magendar, Yi Ann Chen, Albert Lu, Donghun Kang, Daniel Connelly, Marek Hytha, Hideki Takeuchi, Robert Mears, Hiu Yung Wong May 2026

Electron And Hole Surface Roughness Scattering-Limited Mobilities In Oxygen-Inserted (Oi) Si Channel, Vikram Magendar, Yi Ann Chen, Albert Lu, Donghun Kang, Daniel Connelly, Marek Hytha, Hideki Takeuchi, Robert Mears, Hiu Yung Wong

Faculty Research, Scholarly, and Creative Activity

The electron and hole surface roughness scattering (SRS)-limited mobilities, deconvolved from 4.2 K measurements, were compared between oxygen-inserted (OI) and control Si channel for n- and pMOSFETs. It was found that electron SRS-limited mobility in the OI-Si channel is 55% higher, whereas hole SRS-limited mobility is comparable to the control. To elucidate the difference, the Si/Si O2 interface roughness and the nanoscale thickness variation of the gate oxide were analyzed in detail, via high-resolution transmission electron microscopy images, and fed into numerical calculation of the SRS-limited mobility. The power spectral densities (PSDs) based on the Yule–Walker autoregressive model revealed that …

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Running Gait Kinematics Are Reproducible At The Beginning And End Of Two Different Intensity, Energy Expenditure Matched Runs, Using Either Discrete Points Or Functional Data Analysis, Sherveen Riazati, Nick Caplan, Philip R. Hayes May 2026

Running Gait Kinematics Are Reproducible At The Beginning And End Of Two Different Intensity, Energy Expenditure Matched Runs, Using Either Discrete Points Or Functional Data Analysis, Sherveen Riazati, Nick Caplan, Philip R. Hayes

Faculty Research, Scholarly, and Creative Activity

Introduction – The aims of this study were to examine reliability of treadmill running kinematics: i) during two different intensity, energy expenditure matched, runs ii) at two time points within each run iii) using two different methods of statistical analysis. Methods – Twenty healthy club distance runners performed two high intensity interval runs (HIIT) and two medium intensity continuous runs (MICR). Kinematics during ground contact were analysed in all three planes of motion at the ankle, knee, and hip. Maximum angle and range of motion were identified and for Functional Data Analysis (FDA) all of the collected data was utilised. …

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Evaluation Of Spontaneous Awakening And Breathing Trials Prior To Mechanical Ventilator Extubation To Enhance Intensive Care Unit Liberation, Shelby Taranto May 2026

Evaluation Of Spontaneous Awakening And Breathing Trials Prior To Mechanical Ventilator Extubation To Enhance Intensive Care Unit Liberation, Shelby Taranto

Doctoral Projects

Spontaneous Awakening and Breathing Trials (SAT/SBT) might be central to early extubation by decreasing total ventilator time and reducing the intensive care unit (ICU) length of stay (LOS). Unfortunately, these trials often have not been conducted consistently in the ICU. The purpose of this research was to evaluate the frequency of SAT/SBT performed prior to mechanical ventilator extubation on total ventilator time in hours and LOS. Quality improvement aims were: (1) to ascertain if an extubation readiness tool could be easily followed and documented, and (2) to evaluate if an extubation readiness tool would add value in clinical practice. A …

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Exploring Clinical Ladder Program Participation Among Operating Room Nurses, Camille Sistoso-Lorenzana May 2026

Exploring Clinical Ladder Program Participation Among Operating Room Nurses, Camille Sistoso-Lorenzana

Doctoral Projects

Continuous professional development among nurses is vital, yet not all nurses embark on this career journey. The Clinical Ladder Program (CLP) is a retention strategy among various health institutions to retain talent and improve nurses' satisfaction, but this plan is unappealing or indifferent to some nurses. While the CLP is a motivation tool for nurses to focus on clinical expertise in bedside care (Riley et al., 2009), and resources are available to increase a nurse's chances of successfully advancing the ladder, participation in and perspectives on the CLP remain unknown, especially among operating room nurses. This project is guided by …

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Improving Graft-Versus-Host Disease Documentation Through Provider Education On An Epic-Based Gvhd Documentation Flowsheet, Emily Shearon May 2026

Improving Graft-Versus-Host Disease Documentation Through Provider Education On An Epic-Based Gvhd Documentation Flowsheet, Emily Shearon

Doctoral Projects

Graft-versus-host disease (GvHD) is a common and serious complication following allogeneic hematopoietic stem cell transplantation (HSCT). Accurate documentation of GvHD severity and management is essential for clinical decision-making, interdisciplinary communication, and regulatory reporting to organizations such as the Foundation for the Accreditation of Cellular Therapy (FACT) and the Center for International Blood and Marrow Transplant Research (CIBMTR). Despite the availability of structured documentation tools within the electronic health record (EHR), their utilization is often inconsistent. The purpose of this quality improvement project was to evaluate whether a targeted provider-focused intervention could improve completion rates of a standardized GvHD documentation flowsheet …

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Improving Hyaluronic Acid Filler Safety Through A Structured, Evidence-Based Training Program: A Dnp Educational Initiative, Carlos Sandoval Madrigal May 2026

Improving Hyaluronic Acid Filler Safety Through A Structured, Evidence-Based Training Program: A Dnp Educational Initiative, Carlos Sandoval Madrigal

Doctoral Projects

The rapid growth of aesthetic medicine, particularly the use of hyaluronic acid (HA) dermal fillers, has outpaced the development of standardized educational pathways for Health Care Providers (HCPs), contributing to a wide variability in clinical practice and increased risk of adverse events. This Doctor of Nursing Practice (DNP) project aimed to evaluate the effectiveness of a structured, evidence-based educational intervention designed to improve provider knowledge and confidence in the prevention and management of HA filler complications. The intervention was developed using the 10-Point Plan framework and evaluated using the Kirkpatrick Model Levels 1 (Reaction) and 2 (Learning). A quasi-experimental, one-group …

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The Accuracy Of Free Ai Generated Image Detection Tools Compared To Human Judgment, Rachel Tsai May 2026

The Accuracy Of Free Ai Generated Image Detection Tools Compared To Human Judgment, Rachel Tsai

Themis: Research Journal of Justice Studies and Forensic Science

The rise of artificial intelligence has led to a surge in AI-generated images, creating new obstacles for forensic investigations. As synthetic images become increasingly realistic, distinguishing them from authentic content becomes more difficult. In forensic investigations, it is essential to prove the authenticity and integrity of digital evidence to maintain admissibility in court. Currently, there are various AI detection tools on the market; however, their accuracy and reliability remain uncertain. This study evaluates the effectiveness of several free AI-generated image-detection tools compared with judgments from unaided college students or recent graduates. Participants were asked to analyze a set of 30 …

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The Necessity Of Human Taphonomy Facilities, Mia Frame May 2026

The Necessity Of Human Taphonomy Facilities, Mia Frame

Themis: Research Journal of Justice Studies and Forensic Science

This review explores the question of whether human taphonomy facilities (HTFs) are necessary for forensic science research. These facilities are used for multiple facets of research including postmortem interval (PMI) estimation or time since death, entomology, taphonomy, and the study of volatile organic compounds. The use of human analogues like pigs and rabbits will also be addressed to show why taphonomic research on human remains must be done. It is important to look at the physical and logistical limitations of these facilities, as well as ethical limitations including religious beliefs and public perception. This article will conclude by examining future …

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The Effects Of Pesticide-Treated Pork Meat On Insect Colonization: Implications For Postmortem Interval Estimation In Forensic Investigations, Alejandra Veja May 2026

The Effects Of Pesticide-Treated Pork Meat On Insect Colonization: Implications For Postmortem Interval Estimation In Forensic Investigations, Alejandra Veja

Themis: Research Journal of Justice Studies and Forensic Science

Forensic entomologists estimate the postmortem interval (PMI) by analyzing insect colonization patterns on remains. Colonization can be influenced by factors such as state of decomposition, environment type, weather, and chemical exposure. Household products and pesticides may be used to conceal remains by delaying decomposition and preventing insect activity. Despite this, their impact on PMI estimation remains unclear. This study examined the effects of 98.11% DEET, 20% picaridin, and 20% IR3535 on insect colonization, compared to a control. Twelve boneless pork chops were placed outdoors in a suburban setting and monitored twice daily at 12-hour intervals. Results showed that high concentrations …

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Rape Shield Laws: A Call For Reform, Ava Cunningham May 2026

Rape Shield Laws: A Call For Reform, Ava Cunningham

Themis: Research Journal of Justice Studies and Forensic Science

Rape shield laws were originally created during the 1970s to prohibit the admission of a victim’s past sexual history as evidence in court. Such laws aimed to prevent prejudicial questioning that could alter the jury's perceptions. However, they are deeply rooted in gendered biases, do not ensure fairness in the courtroom, and fail to keep pace with advancing technology. This paper argues that a thorough reexamination of rape shield laws is necessary to address these limitations and achieve impartial legal outcomes. Authors of the justice community display widespread support for reform of such laws. Researchers such as Flowe et al. …

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Diagnosing Mushroom Toxicities, Eetu Mäkinen May 2026

Diagnosing Mushroom Toxicities, Eetu Mäkinen

Themis: Research Journal of Justice Studies and Forensic Science

Although mushroom poisonings or “mycetisms” occur more frequently than is commonly recognized, they are often misdiagnosed due to their relative rarity, diverse clinical presentations, and the broad chemical variety of the toxins involved. More than a hundred different mushroom-derived toxins have been identified to cause at least 14 different poisoning syndromes or “toxidromes”, several of which can result in death through means such as organ failure. Understanding the toxicology of these mushroom toxins is essential for diagnosis in both clinical and forensic settings. Modern analytical techniques, such as liquid-chromatography–tandem mass spectrometry (LC–MS/MS) and enzyme-linked immunosorbent assays (ELISA), have improved the …

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The Prison Industrial Complex And The Exploitation Of Prisoners Through The 13th Amendment, Lindsey Adams May 2026

The Prison Industrial Complex And The Exploitation Of Prisoners Through The 13th Amendment, Lindsey Adams

Themis: Research Journal of Justice Studies and Forensic Science

This paper analyzes the relationship between the government and the private prison industry, specifically examining how the exception clause in the Thirteenth Amendment permits conditions resembling modern-day slavery through exploitative prison labor. Neoliberalism and the War on Drugs have contributed to mass incarceration in the United States, which has led to an increase in prison labor. Mass incarceration has disproportionately affected people of color and those living in poverty. To address these issues, more intensive vetting processes are needed at all levels of law enforcement, particularly during hiring, to reduce racial bias and improve accountability.

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Development Of Latent Prints On Glass After A Fire, Meg Ross May 2026

Development Of Latent Prints On Glass After A Fire, Meg Ross

Themis: Research Journal of Justice Studies and Forensic Science

In the United States, there is no standard procedure to collect fingerprint evidence from a fire. The goal of this research is to determine if fingerprints can survive a fire and can be developed using three different techniques. In previous research studies, some fingerprints were able to be recovered. In Australia, they found fingerprints were recoverable at 300℃ and 450℃ after using a cremation oven. However, O’Hagan (2018) claims that fingerprints start to degrade after 100℃ as fingerprints are made of 98% water. For this project, six bottles consisting of 30 fingerprints were put in a fire, with temperatures reading …

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Detection Of Blood On Glazed Ceramic Tiles, Alexis Puente May 2026

Detection Of Blood On Glazed Ceramic Tiles, Alexis Puente

Themis: Research Journal of Justice Studies and Forensic Science

This experiment tested how different bleach dilutions effectively remove blood from floor tiles and how they might affect the Kastle-Meyer (KM) presumptive blood test. Matte Calacatta 12 in. x 12 in. glazed ceramic tiles were used. Glazed tiles are considered non-porous on the surface but the ceramic body contains pores that can retain blood; this retained blood can be detected by the KM test. The bleach dilutions used to clean the tiles were 0% (water), 25%, 50%, 75%, and 100%. Trial 1 tiles were cleaned during the day while Trials 2-5 were cleaned at night. After the tiles were dried, …

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The Impact Of Stigmatization On Professional Responses And Support For Trafficked Youth: A Qualitative Content Analysis, Kate R. Sandoval May 2026

The Impact Of Stigmatization On Professional Responses And Support For Trafficked Youth: A Qualitative Content Analysis, Kate R. Sandoval

Themis: Research Journal of Justice Studies and Forensic Science

Child trafficking is among the most underreported and misunderstood crimes that affects vulnerable populations. Trafficked youth are often criminalized by law enforcement because they are ill-equipped in identifying them, resulting in arrest and involvement in the system. Signs of victimization are overlooked by healthcare providers, who are typically the first to interact with trafficked youth. As a result, very few investigations are carried out, and victims are discouraged from seeking support. The role of stigma is important in understanding how perceptions and responses to trafficked youth are formed, which impacts their outcomes. This study examined how stigmatization influences professional responses …

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Record Clearance: Practical And Essential Justice Reform, Brendan Krepchin May 2026

Record Clearance: Practical And Essential Justice Reform, Brendan Krepchin

Themis: Research Journal of Justice Studies and Forensic Science

Record clearance is the process of expunging and reducing offenses listed on an individual’s Record of Arrests and Prosecutions (RAP). The current regime of laws surrounding the issue of record clearance is a patchwork of state laws that permit and restrict the process depending on the offense, the sentence, and multiple factors pertaining to the judicial process. The mere existence of a RAP sheet creates barriers to achieving any number of goals established at the individual or societal level. This article argues that record clearance should be universally proportional to circumstances across all levels of the justice system, as it …

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Militarized Policing In Democratic Societies: Origins, Firearms Proliferation, Impacts, And The Erosion Of Democratic Governance, Carlos Alcantar May 2026

Militarized Policing In Democratic Societies: Origins, Firearms Proliferation, Impacts, And The Erosion Of Democratic Governance, Carlos Alcantar

Themis: Research Journal of Justice Studies and Forensic Science

Police militarization has become a global trend in recent decades across many democratic societies, often justified as a necessary improvement in policing to address contemporary threats. This shift not only changes police agencies’ equipment but also their organizational structure, training, operations, and culture, raising concerns about its impact on democratic policing practices, public safety, and civil liberties. This study examines the historical and structural developments behind this trend, focusing on military-grade equipment transfers, firearms availability, and the global diffusion of militarized security models as key drivers. Using a qualitative comparative case analysis, the research finds that police militarization is shaped …

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The Consequences Of Dobbs V. Jackson Women’S Health Organization, Kimber Garcia May 2026

The Consequences Of Dobbs V. Jackson Women’S Health Organization, Kimber Garcia

Themis: Research Journal of Justice Studies and Forensic Science

Dobbs v. Jackson Women’s Health Organization came into effect in 2022, and the right to get an abortion was withdrawn for many birthing people; abortion care was no longer protected federally, and states could make their own legislation. This work reviews abortion care procedures, abortion legislation history in the United States, how religion and sexism influence legislation, and the negative effects of antiabortion legislation. The research finds that antiabortion legislation that makes it difficult or illegal to get abortion care inflicts health risks upon birthing people as well as a fear of prosecution. This fear extends to medical professionals, burdening …

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The Crippling Of Democracy: Electoral Accessibility, Voter Fraud, And Disabled Disenfranchisement, Diya Agrawal May 2026

The Crippling Of Democracy: Electoral Accessibility, Voter Fraud, And Disabled Disenfranchisement, Diya Agrawal

Themis: Research Journal of Justice Studies and Forensic Science

While the expansion of voting rights across race, class, and gender is a celebration of American democratic progress, this progress has always excluded disabled Americans. It was not until the late 20th century that the Voting Rights Act and Americans with Disabilities Act successfully codified provisions like voter assistance and large-print ballots. Today, disabled voters are once again silenced by state and federal governments. Conservative lawmakers push to restrict voter assistance, absentee ballots, and electronic voting, claiming that such accessibility made the 2020 election vulnerable to fraud and skewed its results. Analysis of current data and literature finds no evidence …

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Differentiation Of Human Pubic And Underarm Hair Using Atr-Ftir Spectroscopy, Kris Weller May 2026

Differentiation Of Human Pubic And Underarm Hair Using Atr-Ftir Spectroscopy, Kris Weller

Themis: Research Journal of Justice Studies and Forensic Science

This study investigates whether ATR-FTIR can differentiate human pubic and underarm hairs, either on its own or as a supplement to morphological examination via light microscopy. Determining somatic origin may provide useful context in criminal cases, especially in sexual assault cases. The morphological similarity between pubic and underarm hair means that these somatic regions are particularly in need of a more quantitative method of differentiation than the current qualitative approach. The ATR-FTIR spectra of pubic and underarm hairs collected from nine volunteers were not visually differentiable. Six peaks in the fingerprint region shared by all the spectra were selected and …

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The Night Stalker: The Killer Who Learned To Kill, Briana Farias May 2026

The Night Stalker: The Killer Who Learned To Kill, Briana Farias

Themis: Research Journal of Justice Studies and Forensic Science

Richard Ramirez’s criminal career can be best understood through Akers’ Social Learning Theory, which explains deviance as a learned behavior shaped by social interactions. This paper analyzes Ramirez’s childhood exposure to abuse, violent role models, and criminal reinforcement to demonstrate how his behavior may have developed over time. It draws on empirical studies demonstrating that social learning influences offenses such as adolescent drug abuse, gang affiliation, stalking, and sexual aggression. The analysis suggests Ramirez’s violence was not random, but the product of a social environment that rewarded violence. The paper concludes that understanding learned violence is essential for prevention efforts, …

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Headset To Reset: Virtual Reality Therapy In Postoperative Heart And Lung Transplant Patients, Michaela Sanchez May 2026

Headset To Reset: Virtual Reality Therapy In Postoperative Heart And Lung Transplant Patients, Michaela Sanchez

Doctoral Projects

Postoperative heart, lung, and heart-lung transplant recipients are at increased risk for anxiety and depression, both of which have been associated with increased risk of complications and higher mortality rates. The purpose of this quality improvement project was to implement a mindfulness-based virtual reality (VR) therapy intervention for postoperative transplant recipients at a Northern California academic medical center and to evaluate its feasibility, tolerability, and acceptability during the index hospitalization. Over a 15-week period, five participants completed a total of eight VR sessions. Participants selected from immersive mindfulness-based environments, including guided meditation and other relaxation experiences. Anxiety and depression were …

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Kinematically Cold And Warm Planetary Nebulae Samples, Hii Regions And Supernovae Remnants In The Disc Of The Face-On Spiral Galaxy Ngc 628 (M74) - The Planetary Nebulae Spectrograph With The Hα Arm, Magda Arnaboldi, Ortwin Gerhard, Surya Aniyan, Kenneth C. Freeman, Anastasia Ponomareva, Lodovico Coccato, Johanna Hartke, Steven P. Bamford, Arianna Cortesi, Nigel Douglas, Crescenzo Tortora, Michael Merrifield, Konrad Kuijken, Massimo Capaccioli, Nicola R. Napolitano, Claudia Pulsoni, Aaron J. Romanowsky May 2026

Kinematically Cold And Warm Planetary Nebulae Samples, Hii Regions And Supernovae Remnants In The Disc Of The Face-On Spiral Galaxy Ngc 628 (M74) - The Planetary Nebulae Spectrograph With The Hα Arm, Magda Arnaboldi, Ortwin Gerhard, Surya Aniyan, Kenneth C. Freeman, Anastasia Ponomareva, Lodovico Coccato, Johanna Hartke, Steven P. Bamford, Arianna Cortesi, Nigel Douglas, Crescenzo Tortora, Michael Merrifield, Konrad Kuijken, Massimo Capaccioli, Nicola R. Napolitano, Claudia Pulsoni, Aaron J. Romanowsky

Faculty Research, Scholarly, and Creative Activity

Introduction – We present the results from the observations of the galaxy NGC 628 with the Planetary Nebulae Spectrograph (PN.S) equipped with the Hα arm. With the third PN.S arm, the Hα arm, we measure the Hα fluxes, in addition to fluxes and line-of-sight velocities (LOSV) of monochromatic, spatially unresolved [OIII] 5007Å sources, in the nearly face-on disc of NGC 628. Methods – The narrow band color ([OIII] 5007Å–Hα) vs m5007 magnitude diagram does separate planetary nebulae (PNe) from single compact ionized HII regions and supernovae remnants (SNRs), which also emit in [OIII]5007 Å. The goals are to detect bona …

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Records Management For Improving Service Delivery In Local Government Authorities In Tanzania, Grace Msiga Gm, Grace Msiga Gm, Grace Msiga Gm May 2026

Records Management For Improving Service Delivery In Local Government Authorities In Tanzania, Grace Msiga Gm, Grace Msiga Gm, Grace Msiga Gm

Library Philosophy and Practice (e-journal)

The study examined the role of records management in improving service delivery in Local Government Authorities (LGAs) in Tanzania. Specifically, it aimed to explore the state of records management practices within Local Government Authorities (LGAs), to assess the link between records management and service delivery in Local Government Authorities (LGAs), and identify possible barriers in records management that prevent Local Government Authorities (LGAs) from achieving better service delivery. A survey or census sampling method was used to select 240 respondents from a population consisting of 168 Action Officers (AOs), 60 records management staff (RMS), and 12 key informants. The study …

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Librarians' Perspectives On Integrating Gardens Into Academic Library Spaces: Perceived Benefits, Challenges And Opportunities, Comfort Akosua Boatemaa Asare, Millicent Asah, Gregory Kuttin Asare, Adamu Awudu, Samuel Bentil Aggrey May 2026

Librarians' Perspectives On Integrating Gardens Into Academic Library Spaces: Perceived Benefits, Challenges And Opportunities, Comfort Akosua Boatemaa Asare, Millicent Asah, Gregory Kuttin Asare, Adamu Awudu, Samuel Bentil Aggrey

Library Philosophy and Practice (e-journal)

This study examined the perspectives of academic librarians on the integration of indoor gardens into library spaces. Data were obtained from 33 librarians through the use of a structured questionnaire. The collected data showed that 78.8% of the respondents indicated a favourable attitude towards garden integration. The respondents identified a number of benefits that academic libraries could derive from garden integration, including aesthetic appeal, environmental awareness, student well-being, and improved learning. Among the challenges stated were space constraints, maintenance demands, budgetary allocations, and a lack of horticultural expertise. Strategies that could aid effective garden integration within academic libraries include developing …

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Increasing Near-Miss Reporting: An Evidence-Based Approach, Rosalud H. Sanchez-Lozada May 2026

Increasing Near-Miss Reporting: An Evidence-Based Approach, Rosalud H. Sanchez-Lozada

Doctoral Projects

Near-miss events, defined as errors intercepted before reaching the patient, offer valuable opportunities for learning and prevention, particularly in high-acuity intensive care units (ICUs). Despite the availability of electronic reporting systems and national emphasis on patient safety, near-miss reporting remains inconsistent in many critical care settings. This Doctor of Nursing Practice (DNP) quality improvement project evaluated the impact of a structured educational intervention on near-miss reporting within a cardiovascular intensive care unit (CVICU) at a large academic medical center. A single-group pre–post design was used to examine changes in reporting trends following a three-week intervention that included staff education, leadership …

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Improving Health Literacy And Self-Management In Adults With Heart Failure: A Nurse-Led Virtual Intervention In Outpatient Support Groups, Vivian Efosa Osunde May 2026

Improving Health Literacy And Self-Management In Adults With Heart Failure: A Nurse-Led Virtual Intervention In Outpatient Support Groups, Vivian Efosa Osunde

Doctoral Projects

Heart failure is a leading cause of morbidity and hospital readmissions, with limited health literacy contributing to poor self‑management and adherence challenges. The purpose of this Doctor of Nursing Practice project was to evaluate the feasibility and preliminary outcomes of a nurse‑led, virtual education-intervention designed to improve health literacy, self‑care behaviors, and medication adherence among adults with chronic heart failure who participate in an outpatient support group. A quality improvement design was used. Convenience sampling yielded nine adult participants with a documented diagnosis of chronic heart failure who attended at least one virtual support group session. The intervention consisted of …

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Hybrid Densenet-U-Net Framework For Automated Grading Of Renal Cell Carcinoma, Rohini Jadhav, Banani Mohapatra, Bhavnish Walia, Sital Dash, Kailas Patil, Shrikant Jadhav, Ishwari Rohit Raskar May 2026

Hybrid Densenet-U-Net Framework For Automated Grading Of Renal Cell Carcinoma, Rohini Jadhav, Banani Mohapatra, Bhavnish Walia, Sital Dash, Kailas Patil, Shrikant Jadhav, Ishwari Rohit Raskar

Faculty Research, Scholarly, and Creative Activity

Introduction: Precisely grading renal cell carcinoma (RCC) through histopathology slides is a requisite to predict the cancer prognosis and select treatments, however, there is a considerable variability in the assessment between observers. While some AI systems mainly rely on transformer-based and nuclei-centric models, they are computationally very demanding so their clinical use is thus limited. Hence, there is a need for practical and easy-to-understand solutions that can be integrated into digital pathology workflows. Methods: We built a hybrid framework that integrates U-Net-based tumor segmentation, convolutional feature extraction, nuclei-aware descriptors, stain normalization, and attention-based multiple instance learning for slide-level RCC grading. …

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